Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Penick, PA-C

Individual provider Physician Assistant · NPI 1891418448

Amanda Penick, PA-C is a Physician Assistant in Bloomington, Minnesota. Qualified in 2022, 4 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone: (952) 993-2400
Fax: (952) 993-2522
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8265 Obrian Ave Ne, Otsego, MN 55330-7413 — (763) 447-5968

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14233 (MN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1891418448
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2022
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023
Mailing address8265 Obrian Ave Ne, Otsego, MN 55330-7413

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Bloomington